Active NPI
Randall Scott Friese, MD
- Trauma Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- L2258
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7208 - Phone
- (214) 648-3067
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | L2258 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 648-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Maryland School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
2800 E Ajo Way
Tucson, AZ 85713-6204
535 N Wilmot Rd
Suite 101
Tucson, AZ 85711-2683
Phone (520) 694-5437
Hospital & facility affiliations
- Banner - University Medical Center Tucson Campus
- Banner-University Medical Center South Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2258 | TX | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Banner - University Medical Center Tucson Campus LLC | Past | Accepting new patients |
Locations
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1104886357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347",
"telephone_number": "214-648-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907208",
"telephone_number": "214-648-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESE",
"first_name": "RANDALL",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "L2258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.